Therapeutic Advances in Vaccines and Immunotherapy最新文献

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Designing an inclusive immunization schedule for children and adults in India. 为印度儿童和成人设计包容性免疫计划。
Therapeutic Advances in Vaccines and Immunotherapy Pub Date : 2023-11-17 eCollection Date: 2023-01-01 DOI: 10.1177/25151355231213573
Farah Niazi, Karuna Nidhi Kaur, Shazina Saeed, Mohd Shannawaz
{"title":"Designing an inclusive immunization schedule for children and adults in India.","authors":"Farah Niazi, Karuna Nidhi Kaur, Shazina Saeed, Mohd Shannawaz","doi":"10.1177/25151355231213573","DOIUrl":"https://doi.org/10.1177/25151355231213573","url":null,"abstract":"","PeriodicalId":33285,"journal":{"name":"Therapeutic Advances in Vaccines and Immunotherapy","volume":"11 ","pages":"25151355231213573"},"PeriodicalIF":0.0,"publicationDate":"2023-11-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10656793/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138463068","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
COVID-19 vaccine immune response and plasma cell dyscrasia. COVID-19疫苗免疫反应与浆细胞病变。
Therapeutic Advances in Vaccines and Immunotherapy Pub Date : 2023-11-09 eCollection Date: 2023-01-01 DOI: 10.1177/25151355231209733
Amnuay Kleebayoon, Viroj Wiwanitkit
{"title":"COVID-19 vaccine immune response and plasma cell dyscrasia.","authors":"Amnuay Kleebayoon, Viroj Wiwanitkit","doi":"10.1177/25151355231209733","DOIUrl":"10.1177/25151355231209733","url":null,"abstract":"","PeriodicalId":33285,"journal":{"name":"Therapeutic Advances in Vaccines and Immunotherapy","volume":"11 ","pages":"25151355231209733"},"PeriodicalIF":0.0,"publicationDate":"2023-11-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10637130/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"89719747","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Cancer vaccine strategies for the treatment of diffusely infiltrating gliomas. 癌症疫苗策略治疗弥漫性浸润性胶质瘤。
Therapeutic Advances in Vaccines and Immunotherapy Pub Date : 2023-10-24 eCollection Date: 2023-01-01 DOI: 10.1177/25151355231206163
Alexander Jucht, Sydney Dumont, Channing Pooley, Luis Nicolas Gonzalez Castro
{"title":"Cancer vaccine strategies for the treatment of diffusely infiltrating gliomas.","authors":"Alexander Jucht,&nbsp;Sydney Dumont,&nbsp;Channing Pooley,&nbsp;Luis Nicolas Gonzalez Castro","doi":"10.1177/25151355231206163","DOIUrl":"10.1177/25151355231206163","url":null,"abstract":"<p><p>Diffusely infiltrating gliomas - including glioblastoma (GBM), isocitrate dehydrogenase (IDH) mutant gliomas, and histone 3 (H3) altered gliomas - are primary brain tumors with an invariably fatal outcome. Despite advances in the understanding of their biology, standard, targeted and immune checkpoint inhibitor immunotherapies have proven ineffective in arresting their inexorable progression and associated morbidity and mortality. Recognizing the unique aspects of the immunogenicity of cancer cells, the last decade has seen the development and evaluation of vaccine-based therapies for the treatment of solid tumors, including gliomas. Here we review the current vaccine strategies for the treatment of GBM, IDH-mutant gliomas and diffuse midline glioma H3 K27M-altered. We discuss potential benefits and challenges of vaccine therapies in these specific patient populations.</p>","PeriodicalId":33285,"journal":{"name":"Therapeutic Advances in Vaccines and Immunotherapy","volume":"11 ","pages":"25151355231206163"},"PeriodicalIF":0.0,"publicationDate":"2023-10-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/ce/7f/10.1177_25151355231206163.PMC10599115.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"54231340","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Immunogenicity and safety of vaccination in children with paediatric rheumatic diseases: a scoping review. 儿童风湿病疫苗接种的免疫原性和安全性:一项范围综述
Therapeutic Advances in Vaccines and Immunotherapy Pub Date : 2023-04-25 eCollection Date: 2023-01-01 DOI: 10.1177/25151355231167116
Jacqueline Cunninghame, Sophie Wen, Mitchell Dufficy, Amanda Ullman, Mari Takashima, Megan Cann, Rebecca Doyle
{"title":"Immunogenicity and safety of vaccination in children with paediatric rheumatic diseases: a scoping review.","authors":"Jacqueline Cunninghame, Sophie Wen, Mitchell Dufficy, Amanda Ullman, Mari Takashima, Megan Cann, Rebecca Doyle","doi":"10.1177/25151355231167116","DOIUrl":"10.1177/25151355231167116","url":null,"abstract":"<p><p>Children with paediatric rheumatic diseases (PRDs) are at increased risk of vaccine-preventable disease. Safe and effective vaccination is central to preventive care in PRD patients; however, uncertainty surrounding immunogenicity and safety has contributed to suboptimal vaccination. The aim of this study was to evaluate treatment effect on immunogenicity to vaccination in PRD patients and assess vaccine safety, specifically adverse events following immunisation (AEFI) and disease flare. Scoping review. In this scoping review, a systematic search of PubMed, CINAHL and Embase databases was conducted from 2014 to 23 August 2022 to identify observational studies evaluating the immunogenicity and safety of commonly used vaccinations in PRD patients. The primary outcome was immunogenicity (defined as seroprotection and protective antibody concentrations), with secondary outcomes describing AEFI and disease flare also extracted. Due to extensive heterogeneity related to diagnostic and vaccination variability, narrative synthesis was used to describe the findings of each study. Study quality was assessed via the Mixed Methods Appraisal Tool. The review was prospectively registered with PROSPERO (CRD42022307212). The search yielded 19 studies evaluating immunogenicity to vaccination and incidence of AEFI and disease flares in this population, which were of acceptable quality. Corticosteroids did not have deleterious effects on vaccine response. Treatment with conventional disease-modifying antirheumatic drugs (DMARDs) and biologic DMARDs generally had no effect immunogenicity in PRD patients. While patients exhibited adequate seroprotection, protective antibody levels were lower in patients on some immunosuppressant agents. Varicella infections were recorded post vaccination in several patients with low protective antibody levels undergoing treatment with DMARDs and corticosteroids. Most vaccines appear safe and effective in PRD patients, despite immunosuppressant treatment. Booster vaccinations should be considered with some studies highlighting inadequate seroprotection following primary course of vaccinations with acceleration of antibody decline over time. There was limited evidence to support avoiding live vaccines in PRD patients.</p>","PeriodicalId":33285,"journal":{"name":"Therapeutic Advances in Vaccines and Immunotherapy","volume":"11 ","pages":"25151355231167116"},"PeriodicalIF":0.0,"publicationDate":"2023-04-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10131534/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9387113","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Socioeconomic and demographic characteristics influencing the hesitancy and refusal of COVID-19 vaccine in Ghana. 影响加纳人犹豫不决和拒绝接受 COVID-19 疫苗的社会经济和人口特征。
Therapeutic Advances in Vaccines and Immunotherapy Pub Date : 2023-02-09 eCollection Date: 2023-01-01 DOI: 10.1177/25151355221149336
Agyemang Kwasi Sampene, Cai Li, Fredrick Oteng Agyeman, Robert Brenya
{"title":"Socioeconomic and demographic characteristics influencing the hesitancy and refusal of COVID-19 vaccine in Ghana.","authors":"Agyemang Kwasi Sampene, Cai Li, Fredrick Oteng Agyeman, Robert Brenya","doi":"10.1177/25151355221149336","DOIUrl":"10.1177/25151355221149336","url":null,"abstract":"<p><strong>Background: </strong>Ghana was the first country to receive the coronavirus vaccination in West Africa from AstraZeneca or Oxford. Ghana plans to vaccinate 20 million out of the 32 million population and provide the necessary doses utilizing multilateral and bilateral agreements. As Ghana begins vaccinating its citizens, there is some skepticism about administering the coronavirus vaccine (CVV). This research aimed to analyze the socioeconomic and demographic characteristics influencing vaccine hesitancy (VH) and refusal among Ghanaians.</p><p><strong>Methods: </strong>The multinomial logistics regression model was employed to investigate the relationship between respondents' socio-demographic characteristics and VH. The research data were gathered between March to June 2021 through an online survey.</p><p><strong>Findings: </strong>The findings of this study indicated that approximately 92.75% of the 400 respondents have heard about CVV. The study suggests that less than 5% of the participants have so far received the CVV. Most of the respondents (36.8%) indicated rejecting the CVV. Interestingly, male participants [adjusted odds ratio (AOR) = 1.048; 95% confidence interval (CI): 0.532-2.063] with higher educational backgrounds (AOR = 2.11; 95% CI: 0.870-5.121) had higher odds of being CVV hesitant or refusers. Low economic class, rural settlers, unmarried individuals, and unemployed people also had higher odds of being VH or refusers. The survey also shows that most Ghanaians refused to receive the CVV because they did not trust the system to track the vaccine's side or adverse effects.</p><p><strong>Conclusion: </strong>Government can use social media platforms and other media platforms to effectively provide relevant information regarding the full benefit and risks of taking the virus.</p>","PeriodicalId":33285,"journal":{"name":"Therapeutic Advances in Vaccines and Immunotherapy","volume":"11 ","pages":"25151355221149336"},"PeriodicalIF":0.0,"publicationDate":"2023-02-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/bf/2f/10.1177_25151355221149336.PMC9912038.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9260148","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Decision-making in childhood vaccination: vaccine hesitancy among caregivers of under-5 children from a tertiary care institution in Eastern India. 儿童疫苗接种决策:印度东部一家三级医疗机构中 5 岁以下儿童看护人的疫苗犹豫不决。
Therapeutic Advances in Vaccines and Immunotherapy Pub Date : 2023-02-03 eCollection Date: 2023-01-01 DOI: 10.1177/25151355231152650
Soumya Swaroop Sahoo, Swayam Pragyan Parida, Arvind Kumar Singh, Sarika Palepu, Durgesh Prasad Sahoo, Vikas Bhatia
{"title":"Decision-making in childhood vaccination: vaccine hesitancy among caregivers of under-5 children from a tertiary care institution in Eastern India.","authors":"Soumya Swaroop Sahoo, Swayam Pragyan Parida, Arvind Kumar Singh, Sarika Palepu, Durgesh Prasad Sahoo, Vikas Bhatia","doi":"10.1177/25151355231152650","DOIUrl":"10.1177/25151355231152650","url":null,"abstract":"<p><strong>Background: </strong>Acceptance of vaccines has been on a decline in recent times, with vaccine hesitancy being listed as one of the top 10 global health threats. This study analysed vaccine hesitancy and belief towards vaccination among caregivers of children aged below 5 years.</p><p><strong>Methods: </strong>In this cross-sectional study, 196 caregivers of children aged 6 months to below 5 years who had attended an immunization clinic at a tertiary care institute of Eastern India from March to May 2019 were surveyed. Consecutive sampling was used to recruit eligible study participants. The survey assessed the attitudes of parents towards childhood vaccination by using the Vaccine Hesitancy Scale and their beliefs towards vaccination. Univariate analysis was performed to assess the association of various sociodemographic factors with vaccine hesitancy.</p><p><strong>Results: </strong>Among the caregivers, most (48%) mothers were aged 26-35 years, literate and homemakers. Vaccine hesitancy was observed in 9.18% of the participants. Only the age of the child was significantly associated with vaccine hesitancy. Nearly half (48.5%) of the participants were concerned about the serious adverse effects of vaccines, and a third (30.6%) agreed that newer vaccines are associated with higher risks than the older ones. Caregivers felt that vaccines are no longer required for uncommon diseases.</p><p><strong>Conclusion: </strong>Concerns regarding vaccine hesitancy are prevalent even among caregivers attending a tertiary care institute. Thus, additional studies are required to assess hesitancy in urban, rural, remote and inaccessible areas. Policymakers ought to conduct periodic assessments and implement necessary remedial measures for the long-term sustenance of the benefits of the national immunization programme.</p>","PeriodicalId":33285,"journal":{"name":"Therapeutic Advances in Vaccines and Immunotherapy","volume":"11 ","pages":"25151355231152650"},"PeriodicalIF":0.0,"publicationDate":"2023-02-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/c9/c0/10.1177_25151355231152650.PMC9900653.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9237795","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Leveraging identity and access management technology to accelerate emergency COVID-19 vaccine delivery. 利用身份和准入管理技术加快COVID-19紧急疫苗交付。
Therapeutic Advances in Vaccines and Immunotherapy Pub Date : 2023-01-01 DOI: 10.1177/25151355231173830
George A Gellert
{"title":"Leveraging identity and access management technology to accelerate emergency COVID-19 vaccine delivery.","authors":"George A Gellert","doi":"10.1177/25151355231173830","DOIUrl":"https://doi.org/10.1177/25151355231173830","url":null,"abstract":"<p><p>COVID-19-related vaccine demand and delivery volume challenged delivery organizations as few crises have. Imperatives to ensure security of patient information, defend against cybersecurity threats, and accurately identify/authenticate clinician identity for patients remained unchanged. Deployment of identity access and management (IAM) and single sign-on (SSO) can accelerate operationalization of a vaccine delivery center when urgently needed in a crisis. Innovative application of existing IAM/SSO technology, combined with an identity governance solution, greatly accelerated vaccine delivery. Secure access enabled by IAM technology facilitated a rapid expansion (25 minutes) where 500 new vaccine delivery personnel were identified and authenticated during a period of high pandemic incidence. Existing digital identity solutions enabled a vaccine delivery organization to accelerate secure IAM of clinical staff during the peak of the COVID-19 pandemic. Existing IAM investments and capabilities that are widely implemented in nations with mature health information technology systems can greatly accelerate standing up emergent vaccine delivery capabilities and sites in the midst of a public health crisis.</p>","PeriodicalId":33285,"journal":{"name":"Therapeutic Advances in Vaccines and Immunotherapy","volume":"11 ","pages":"25151355231173830"},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/04/6b/10.1177_25151355231173830.PMC10227486.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9620853","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Clinico-epidemiological profile and outcome of infected health care workers during the three consecutive waves of COVID-19 pandemic: a longitudinal cohort study. 连续三波COVID-19大流行期间受感染医护人员的临床流行病学概况和结局:一项纵向队列研究
Therapeutic Advances in Vaccines and Immunotherapy Pub Date : 2023-01-01 DOI: 10.1177/25151355231181744
Merrin Mathew, Juny Sebastian, Narayanappa Doddaiah, Anmaria Thomas, Sinchana Narayanappa
{"title":"Clinico-epidemiological profile and outcome of infected health care workers during the three consecutive waves of COVID-19 pandemic: a longitudinal cohort study.","authors":"Merrin Mathew,&nbsp;Juny Sebastian,&nbsp;Narayanappa Doddaiah,&nbsp;Anmaria Thomas,&nbsp;Sinchana Narayanappa","doi":"10.1177/25151355231181744","DOIUrl":"https://doi.org/10.1177/25151355231181744","url":null,"abstract":"<p><strong>Background: </strong>Health care workers are considered as high-risk population, who deal with many unknown, undiagnosed, and subclinical infectious diseases in their daily life. Currently, the COVID-19 pandemic posed as an add-on burden for these frontline workers in all aspects. Although, many adverse physical and mental effects of pandemic among health care workers (HCWs) were discussed worldwide, a long-term study for delayed complications needed to be explored.</p><p><strong>Aim: </strong>The study evaluates and compares three waves of the pandemic in various aspects such as the incidence, prevalence, severity, risk factors, and variations in the pattern of COVID-19 infection, impact of vaccination, and post-infection complications among the HCWs.</p><p><strong>Methodology: </strong>A longitudinal observational study was carried out over a period of 2 years and another 6 months for follow-up. The study included all HCWs who tested positive in any one wave of COVID-19 pandemic with any one of the confirmed COVID-19 test. Each COVID-19-affected HCW was followed up through telephone calls and direct interviews conducted at the study site. Admission details and other background details of the study population were collected from the hospital records.</p><p><strong>Results: </strong>A total of 968 HCWs were COVID-19 positive in any of the three waves, and highest incidence (53.00%) was caused by the Omicron variant. High severity and hospitalization was observed in the first wave (no vaccination) and fully immunized personnel were found to be out of danger of being hospitalized during all succeeding waves (chi-square value: 87.04, <i>p</i> < 0.05). Predictors such as female gender, occupational exposure, and comorbid status were identified as possible risk factors for infection. A total of 70 HCWs reported with 104 complications, of which chronic diseases such as new onset of diabetes (<i>n</i> = 3), cardiovascular events (<i>n</i> = 8), worsening of preexisting comorbidities (<i>n</i> = 8), etc. were found out.</p><p><strong>Conclusions: </strong>This study proves the benefit of being immunized rather than the risk of being infected. This study documents that immunization impacted complication and hospitalization rates of COVID-19 infection. This evidence may help in tackling vaccine hesitancy across the nations.</p>","PeriodicalId":33285,"journal":{"name":"Therapeutic Advances in Vaccines and Immunotherapy","volume":"11 ","pages":"25151355231181744"},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/19/d9/10.1177_25151355231181744.PMC10285439.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9716448","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 1
Significant improvement of systemic lupus erythematosus manifestation in children after autologous dendritic cell transfer: a case report and review of literature. 自体树突状细胞移植后儿童系统性红斑狼疮症状显著改善1例报告及文献复习。
Therapeutic Advances in Vaccines and Immunotherapy Pub Date : 2023-01-01 DOI: 10.1177/25151355231186005
Jonny, Terawan Agus Putranto, Yenny Purnama, Roedi Djatmiko, Martina Lily Yana, Enda Cindylosa Sitepu, Raoulian Irfon
{"title":"Significant improvement of systemic lupus erythematosus manifestation in children after autologous dendritic cell transfer: a case report and review of literature.","authors":"Jonny,&nbsp;Terawan Agus Putranto,&nbsp;Yenny Purnama,&nbsp;Roedi Djatmiko,&nbsp;Martina Lily Yana,&nbsp;Enda Cindylosa Sitepu,&nbsp;Raoulian Irfon","doi":"10.1177/25151355231186005","DOIUrl":"https://doi.org/10.1177/25151355231186005","url":null,"abstract":"<p><p>Dendritic cells (DC) are postulated to play a role in autoimmune diseases such as Systemic Lupus Erythematosus (SLE). We reported a 13-year-old female SLE patient who presents with chronic arthritis accompanied by persistent fever, dyspnea, sleep disturbance, headache, stomatitis, rash, and muscle weakness. The supporting examinations showed abnormal blood cell counts, positive antinuclear antibody profile, serositis, and neuropathy. Immunosuppressants failed to improve the condition. DC-based vaccine derived from autologous peripheral blood which was introduced with SARS-CoV-2 protein was given to this patient. There was a significant improvement in clinical and laboratory findings. Thus, DC immunotherapy appears to be a potential novel therapy for SLE that needs to be studied.</p>","PeriodicalId":33285,"journal":{"name":"Therapeutic Advances in Vaccines and Immunotherapy","volume":"11 ","pages":"25151355231186005"},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/77/49/10.1177_25151355231186005.PMC10501061.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10672028","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
COVID-19 after rituximab therapy in cSLE patients. 利妥昔单抗治疗后cSLE患者的COVID-19
Therapeutic Advances in Vaccines and Immunotherapy Pub Date : 2023-01-01 DOI: 10.1177/25151355231181242
Meghan Corrigan Nelson, Cynthia K Manos, Elaine Flanagan, Sampath Prahalad
{"title":"COVID-19 after rituximab therapy in cSLE patients.","authors":"Meghan Corrigan Nelson,&nbsp;Cynthia K Manos,&nbsp;Elaine Flanagan,&nbsp;Sampath Prahalad","doi":"10.1177/25151355231181242","DOIUrl":"https://doi.org/10.1177/25151355231181242","url":null,"abstract":"<p><p>Childhood-onset systemic lupus erythematosus (cSLE) is an autoimmune disease associated with significant morbidity and mortality. Rituximab is a B-cell depleting therapy utilized in the treatment of SLE. In adults, rituximab has been associated with increased risk of adverse outcomes in patients who develop coronavirus disease 2019 (COVID-19). We aimed to assess the impact of prior rituximab treatment on clinical outcomes from Severe Acute Respiratory Syndrome Coronavirus 2 (SARS-CoV-2) infection in children with SLE. To describe the impact of rituximab on outcomes from SARS-CoV-2 infection, we conducted a retrospective study of pediatric SLE patients in our center diagnosed with COVID-19 who had previously received rituximab between February 2019 and October 2022. Patients' clinical characteristics, disease activity, and outcomes were assessed. Of the eight subjects assessed, five required hospitalizations for COVID-19, four required ICU admission, and two were seen in the emergency department for their symptoms. One patient ultimately expired from her illness. The median time between rituximab administration and COVID-19 diagnosis was 3 months. We assessed the clinical outcomes, including the need of ICU admission and fatal outcome, of COVID-19 in our cSLE patient population after rituximab administration. Approximately 60% of our patients required hospitalization for their illness, and seven out of eight patients required healthcare utilization to include hospitalization and/or emergency department visits.</p>","PeriodicalId":33285,"journal":{"name":"Therapeutic Advances in Vaccines and Immunotherapy","volume":"11 ","pages":"25151355231181242"},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/ff/98/10.1177_25151355231181242.PMC10285438.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10093945","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
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